Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $4,709.38 / $6,553.21	Professional		$84.81	$4,709.38	$6,553.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $5,446.35 / $5,644.75	Professional		$104.88	$5,446.35	$5,644.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $166.24 / $7,762.99	Professional		$134.25	$166.24	$7,762.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $4,792.79 / $5,446.35	Professional		$98.23	$4,792.79	$5,446.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,444.22 / $6,093.28 / $8,832.84	Professional		$4,444.22	$6,093.28	$8,832.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,594.00 / $6,385.24	Professional		$29.27	$2,594.00	$6,385.24